| NPI | 1710272976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125059641) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01075496A) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2025-01-17 |